Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up
Identifieur interne : 002659 ( Istex/Corpus ); précédent : 002658; suivant : 002660Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up
Auteurs : Thomas J. Vergo JrSource :
- The Journal of Prosthetic Dentistry [ 0022-3913 ] ; 2001.
English descriptors
- KwdEn :
- Accurate denture, Caries, Caries prevention, Complete dentures, Dent, Dental medicine, Dentinogenesis imperfecta, Dentistry, Denture, Denture base, Ectodermal dysplasia, Epulis formation, Mandible, Mandibular, Mandibular overdentures, Maxillary, Maxillary arch, Maxillary mandibular overdentures, Natural teeth, Overdenture, Overdenture therapy, Overdentures, Papillary hyperplasia, Patient population, Print subscribers, Prosthesis, Prosthesis hygiene, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Prosthetic dentistry vergo, Same denture, Same patient, Severe gingival hyperplasia, Soft tissue, Soft tissue problems, Subscriber account number, Vergo, Vertical dimension.
- Teeft :
- Accurate denture, Caries, Caries prevention, Complete dentures, Dent, Dental medicine, Dentinogenesis imperfecta, Dentistry, Denture, Denture base, Ectodermal dysplasia, Epulis formation, Mandible, Mandibular, Mandibular overdentures, Maxillary, Maxillary arch, Maxillary mandibular overdentures, Natural teeth, Overdenture, Overdenture therapy, Overdentures, Papillary hyperplasia, Patient population, Print subscribers, Prosthesis, Prosthesis hygiene, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Prosthetic dentistry vergo, Same denture, Same patient, Severe gingival hyperplasia, Soft tissue, Soft tissue problems, Subscriber account number, Vergo, Vertical dimension.
Abstract
Abstract: Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. (J Prosthet Dent 2001;86:342-7.)
Url:
DOI: 10.1067/mpr.2001.118877
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ISTEX:4E42489AB074AD87A1D7BE62EE5D6B696B5B1C1CLe document en format XML
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Vergo Jr</name><affiliation><mods:affiliation>Tufts University School of Dental Medicine, Boston, Mass.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Prosthetic Dentistry</title><title level="j" type="abbrev">YMPR</title><idno type="ISSN">0022-3913</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2001">2001</date><biblScope unit="volume">86</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="342">342</biblScope><biblScope unit="page" to="347">347</biblScope></imprint><idno type="ISSN">0022-3913</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3913</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accurate denture</term><term>Caries</term><term>Caries prevention</term><term>Complete dentures</term><term>Dent</term><term>Dental medicine</term><term>Dentinogenesis imperfecta</term><term>Dentistry</term><term>Denture</term><term>Denture base</term><term>Ectodermal dysplasia</term><term>Epulis formation</term><term>Mandible</term><term>Mandibular</term><term>Mandibular overdentures</term><term>Maxillary</term><term>Maxillary arch</term><term>Maxillary mandibular overdentures</term><term>Natural teeth</term><term>Overdenture</term><term>Overdenture therapy</term><term>Overdentures</term><term>Papillary hyperplasia</term><term>Patient population</term><term>Print subscribers</term><term>Prosthesis</term><term>Prosthesis hygiene</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic dentistry vergo</term><term>Same denture</term><term>Same patient</term><term>Severe gingival hyperplasia</term><term>Soft tissue</term><term>Soft tissue problems</term><term>Subscriber account number</term><term>Vergo</term><term>Vertical dimension</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Accurate denture</term><term>Caries</term><term>Caries prevention</term><term>Complete dentures</term><term>Dent</term><term>Dental medicine</term><term>Dentinogenesis imperfecta</term><term>Dentistry</term><term>Denture</term><term>Denture base</term><term>Ectodermal dysplasia</term><term>Epulis formation</term><term>Mandible</term><term>Mandibular</term><term>Mandibular overdentures</term><term>Maxillary</term><term>Maxillary arch</term><term>Maxillary mandibular overdentures</term><term>Natural teeth</term><term>Overdenture</term><term>Overdenture therapy</term><term>Overdentures</term><term>Papillary hyperplasia</term><term>Patient population</term><term>Print subscribers</term><term>Prosthesis</term><term>Prosthesis hygiene</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic dentistry vergo</term><term>Same denture</term><term>Same patient</term><term>Severe gingival hyperplasia</term><term>Soft tissue</term><term>Soft tissue problems</term><term>Subscriber account number</term><term>Vergo</term><term>Vertical dimension</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. (J Prosthet Dent 2001;86:342-7.)</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>denture</json:string><json:string>overdentures</json:string><json:string>caries</json:string><json:string>prosthetic</json:string><json:string>overdenture</json:string><json:string>maxillary</json:string><json:string>prosthet</json:string><json:string>prosthet dent</json:string><json:string>prosthesis</json:string><json:string>prosthetic dentistry</json:string><json:string>vergo</json:string><json:string>mandibular</json:string><json:string>mandible</json:string><json:string>dentistry</json:string><json:string>dentinogenesis imperfecta</json:string><json:string>vertical dimension</json:string><json:string>patient population</json:string><json:string>natural teeth</json:string><json:string>complete dentures</json:string><json:string>subscriber account number</json:string><json:string>ectodermal dysplasia</json:string><json:string>maxillary arch</json:string><json:string>mandibular overdentures</json:string><json:string>soft tissue</json:string><json:string>dent</json:string><json:string>same patient</json:string><json:string>overdenture therapy</json:string><json:string>soft tissue problems</json:string><json:string>prosthesis hygiene</json:string><json:string>dental medicine</json:string><json:string>prosthetic dentistry vergo</json:string><json:string>papillary hyperplasia</json:string><json:string>epulis formation</json:string><json:string>denture base</json:string><json:string>severe gingival hyperplasia</json:string><json:string>accurate denture</json:string><json:string>same denture</json:string><json:string>maxillary mandibular overdentures</json:string><json:string>print subscribers</json:string><json:string>caries prevention</json:string></teeft></keywords><author><json:item><name>Thomas J. Vergo, Jr DDSa</name><affiliations><json:string>Tufts University School of Dental Medicine, Boston, Mass.</json:string></affiliations></json:item></author><arkIstex>ark:/67375/6H6-X1F9ZB4J-W</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. 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Active Staff, New England Medical Center and Boston Medical Center. Private practice, Boston, Mass.</note><note>Reprint requests to: Dr Thomas J. Vergo, Department of Restorative Dentistry, Tufts University School of Dental Medicine, 1 Kneeland St, Boston, MA 02111, Fax: (617)636-6583, E-mail: thomas.vergo_jr@tufts.edu</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up</title><author xml:id="author-0000"><persName><forename type="first">Thomas J.</forename><surname>Vergo, Jr</surname></persName><roleName type="degree">DDSa</roleName><affiliation>Tufts University School of Dental Medicine, Boston, Mass.</affiliation></author><idno type="istex">4E42489AB074AD87A1D7BE62EE5D6B696B5B1C1C</idno><idno type="DOI">10.1067/mpr.2001.118877</idno><idno type="PII">S0022-3913(01)88833-8</idno></analytic><monogr><title level="j">The Journal of Prosthetic Dentistry</title><title level="j" type="abbrev">YMPR</title><idno type="pISSN">0022-3913</idno><idno type="PII">S0022-3913(00)X0015-7</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2001"></date><biblScope unit="volume">86</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="342">342</biblScope><biblScope unit="page" to="347">347</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2001</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. (J Prosthet Dent 2001;86:342-7.)</p></abstract></profileDesc><revisionDesc><change when="2001">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4E42489AB074AD87A1D7BE62EE5D6B696B5B1C1C/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="gr1"></istex:entity><istex:entity SYSTEM="gr2" NDATA="IMAGE" name="gr2"></istex:entity><istex:entity SYSTEM="gr3" NDATA="IMAGE" name="gr3"></istex:entity><istex:entity SYSTEM="gr4" NDATA="IMAGE" name="gr4"></istex:entity><istex:entity SYSTEM="gr5" NDATA="IMAGE" name="gr5"></istex:entity><istex:entity SYSTEM="gr6" NDATA="IMAGE" name="gr6"></istex:entity><istex:entity SYSTEM="gr7" NDATA="IMAGE" name="gr7"></istex:entity><istex:entity SYSTEM="mmc1" NDATA="APPLICATION" name="mmc1"></istex:entity><istex:entity SYSTEM="mmc2" NDATA="APPLICATION" name="mmc2"></istex:entity></istex:docType><istex:document><article docsubtype="fla" xml:lang="en"><item-info><jid>YMPR</jid><aid>88833</aid><ce:pii>S0022-3913(01)88833-8</ce:pii><ce:doi>10.1067/mpr.2001.118877</ce:doi><ce:copyright type="other" year="2001">Editorial Council of The Journal of Prosthetic Dentistry.</ce:copyright></item-info><ce:floats><ce:e-component id="mmc1"><ce:caption><ce:simple-para id="sp0010">Simplified Chinese PDF</ce:simple-para></ce:caption><ce:link locator="mmc1"></ce:link><ce:alt-e-component><ce:caption><ce:simple-para id="sp0015">Simplified Chinese PDF</ce:simple-para></ce:caption></ce:alt-e-component></ce:e-component><ce:e-component id="mmc2"><ce:caption><ce:simple-para id="sp0020">Traditional Chinese PDF</ce:simple-para></ce:caption><ce:link locator="mmc2"></ce:link><ce:alt-e-component><ce:caption><ce:simple-para id="sp0025">Traditional Chinese PDF</ce:simple-para></ce:caption></ce:alt-e-component></ce:e-component></ce:floats><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para><ce:sup>a</ce:sup>Professor, Department of Restorative Dentistry, and Division Head, Maxillofacial Prosthetics. Active Staff, New England Medical Center and Boston Medical Center. Private practice, Boston, Mass.</ce:note-para></ce:article-footnote><ce:article-footnote><ce:label>☆☆</ce:label><ce:note-para>Reprint requests to: Dr Thomas J. Vergo, Department of Restorative Dentistry, Tufts University School of Dental Medicine, 1 Kneeland St, Boston, MA 02111, Fax: (617)636-6583, E-mail: thomas.vergo_jr@tufts.edu</ce:note-para></ce:article-footnote><ce:title>Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up</ce:title><ce:author-group><ce:author><ce:given-name>Thomas J.</ce:given-name><ce:surname>Vergo</ce:surname><ce:suffix>Jr</ce:suffix><ce:degrees>DDS<ce:sup>a</ce:sup></ce:degrees></ce:author><ce:affiliation><ce:textfn>Tufts University School of Dental Medicine, Boston, Mass.</ce:textfn></ce:affiliation></ce:author-group><ce:abstract><ce:section-title id="st0010">Abstract</ce:section-title><ce:abstract-sec><ce:simple-para id="sp0030">Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. <ce:bold>(J Prosthet Dent 2001;86:342-7.)</ce:bold></ce:simple-para></ce:abstract-sec></ce:abstract></head><body><ce:sections><ce:para id="p0010">Pediatric patients with congenital/development disorders present the prosthodontist with complex esthetic and functional restorative challenges. Disorders such as cleft lip and cleft palate, oligodontia (ectodermal dysplasia, dentinogenesis imperfecta), cleidocranial dysostosis, and Angle Class III maxillary/mandibular relation require the prosthodontist not only to replace missing teeth but also to correct misaligned teeth and maxillary/mandibular malocclusions.<ce:cross-refs refid="bib1 bib2 bib3"><ce:sup>1-3</ce:sup></ce:cross-refs> Many of these disorders are associated with systemic complications in addition to oral deformities, which may preclude surgical correction.<ce:cross-refs refid="bib1 bib3"><ce:sup>1,3</ce:sup></ce:cross-refs></ce:para><ce:para id="p0015">Applying overdenture theory to this pediatric subset of patients affords the prosthodontist a conservative, simple, and economically feasible alternative to surgical intervention. Overdentures are amenable to long-term maintenance and allow progressive changes to be made to the prosthesis as the patient matures to adulthood. In addition, the clinical procedures are completely reversible since the existing dentition need not be altered.<ce:cross-refs refid="bib1 bib4"><ce:sup>1,4</ce:sup></ce:cross-refs></ce:para><ce:para id="p0020">Compared with conventional complete dentures, the advantages of overdenture prostheses have been firmly established in the dental literature. These advantages include improved support and stability<ce:cross-ref refid="bib5"><ce:sup>5</ce:sup></ce:cross-ref>; improved proprioception and neuromuscular feedback mechanism<ce:cross-refs refid="bib1 bib6"><ce:sup>1,6</ce:sup></ce:cross-refs>; superior restoration of the vital oral functions of speech,<ce:cross-ref refid="bib7"><ce:sup>7</ce:sup></ce:cross-ref> swallowing, and chewing<ce:cross-ref refid="bib8"><ce:sup>8</ce:sup></ce:cross-ref> with improved comfort<ce:cross-refs refid="bib1 bib9 bib10 bib11"><ce:sup>1,9-11</ce:sup></ce:cross-refs>; an increased sense of security<ce:cross-ref refid="bib11"><ce:sup>11</ce:sup></ce:cross-ref>; and preservation of alveolar bone.<ce:cross-refs refid="bib5 bib9 bib11 bib12"><ce:sup>5,9,11,12</ce:sup></ce:cross-refs> Additional benefits are preservation of tooth structure<ce:cross-refs refid="bib1 bib4"><ce:sup>1,4</ce:sup></ce:cross-refs> and psychological support for patients.<ce:cross-ref refid="bib7"><ce:sup>7</ce:sup></ce:cross-ref></ce:para><ce:para id="p0025">This article describes various denture-related clinical findings seen in craniofacial patients who functioned with maxillary and/or mandibular overdentures for 2 to 25 years. Temporomandibular joint (TMJ) stability, caries, soft tissue and bone support changes, denture complications, and the importance of routine follow-up examinations are discussed. Observational data indicate that the benefits of overdenture treatment far outweigh the problems that occur with this protocol. It should be emphasized that this is a report of clinical observations and not of comparative or prospective longitudinal data.</ce:para><ce:section id="s0010"><ce:section-title id="st0015">TMJ considerations</ce:section-title><ce:para id="p0030">Dawson<ce:cross-ref refid="bib13"><ce:sup>13</ce:sup></ce:cross-ref> states 2 rules concerning “bite-raising” for patients with natural teeth: Do not change the vertical dimension of occlusion of teeth intercuspated in maximum contact, and do not open the bite. When the mandible is in a rest position, there exists a state of mild contraction of antagonistic muscles to maintain its posture and position. When a prosthesis interferes with the resting muscle position, the new muscle length serves to stimulate the production of hypertonicity and may result in destructive clenching and/or bruxism. Dawson agrees that rare exceptions to these rules are, at best, “the lesser of evils.”<ce:cross-ref refid="bib13"><ce:sup>13</ce:sup></ce:cross-ref></ce:para><ce:para id="p0035">The patient with a craniofacial anomaly, by virtue of his/her stomatognathic compromise, cannot be considered in the same context as patients with more normal development. The pattern of anodontia and abnormal development of the maxilla and/or the mandible rarely result in a stable maximum intercuspation.<ce:cross-ref refid="bib1"><ce:sup>1</ce:sup></ce:cross-ref> Indeed, an appropriate position and posture of the mandible to the maxilla generally is maintained by interposing the tongue, usually enlarged, between the maxilla and mandible teeth to allow for more normal speech, swallowing, and mastication.<ce:cross-refs refid="bib2 bib3"><ce:sup>2,3</ce:sup></ce:cross-refs></ce:para><ce:para id="p0040">If dentists carefully use Silverman's<ce:cross-ref refid="bib14"><ce:sup>14</ce:sup></ce:cross-ref> closet speaking space technique and other standard phonetic and esthetic assessments to determine proper interocclusal rest space, it should become obvious that, in this compromised patient population, significant intertooth/interridge space exists to allow restoration of vertical dimension of occlusion with overdentures without producing hypertonicity.<ce:cross-refs refid="bib1 bib2 bib3"><ce:sup>1-3</ce:sup></ce:cross-refs> In the patient population followed by the author for up to 25 years, no TMJ-related complications were clinically noted, despite the restoration of vertical dimension of occlusion in accordance with standard phonetic and esthetic criteria.</ce:para></ce:section><ce:section id="s0015"><ce:section-title id="st0020">Caries</ce:section-title><ce:para id="p0045">In longitudinal studies that evaluated conventional overdentures with nonvital abutments over 5 and 10 years, Toolson and Smith<ce:cross-ref refid="bib15"><ce:sup>15</ce:sup></ce:cross-ref> and Toolson and Taylor,<ce:cross-ref refid="bib16"><ce:sup>16</ce:sup></ce:cross-ref> respectively, concluded that caries appeared to be more significant than soft tissue problems in their patient populations. Although these reports did not specify the incidence of caries related to arch and did not involve patients with congenital/developmental anomalies, the findings mirror those reported below for the patient population considered here.</ce:para><ce:para id="p0050">Caries was more prevalent and occurred more frequently in the maxillary arch (Figs. 1 and 2).<ce:display><ce:figure id="f0010"><ce:label>Fig. 1</ce:label><ce:caption><ce:simple-para id="sp0035"><ce:bold>A,</ce:bold> Patient with partial anodontia and hypoplastic maxilla/prognathic mandible demonstrating caries in maxillary arch 16 years after delivery of maxillary and mandibular overdentures. <ce:bold>B,</ce:bold> View of same patient's mandibular arch, which was caries-free 16 years after delivery.</ce:simple-para></ce:caption> <ce:link locator="gr1"></ce:link></ce:figure></ce:display><ce:display><ce:figure id="f0015"><ce:label>Fig. 2</ce:label><ce:caption><ce:simple-para id="sp0040"><ce:bold>A,</ce:bold> Patient with dentinogenesis imperfecta at time of overdenture delivery. Note high natural polish of teeth. (Photo taken in 1977, when gloving was not universal standard.) <ce:bold>B,</ce:bold> Maxillary caries in same patient 3 years later.</ce:simple-para></ce:caption> <ce:link locator="gr2"></ce:link></ce:figure></ce:display>The maxillary overdenture tends to isolate supporting teeth covered by the denture from normal salivary contact, thus lessening the protective and remineralizing capacity of saliva. Oral and prosthesis hygiene appeared to be very important relative to caries prevention. Fluoride use once per day, with the overdenture as the fluoride carrier, appeared to benefit all patients but especially those considered “susceptible”<ce:cross-refs refid="bib15 bib16"><ce:sup>15,16</ce:sup></ce:cross-refs> to caries. Three- to 6-month hygiene recall visits were scheduled to maintain and reinforce home care performance as well as to assess the need to reline, rebase, or remake prostheses. When caries were noted, the patient typically did not comply with minimal oral/prosthesis hygiene practice or use topical fluoride treatments on a daily basis.</ce:para><ce:para id="p0055">In general, the majority of patients who maintained home care, used the topical fluoride daily, and presented for at least the 6-month recall (oral prophylaxis) visit demonstrated no significant increase in caries.</ce:para></ce:section><ce:section id="s0020"><ce:section-title id="st0025">Periodontal support structure</ce:section-title><ce:para id="p0060">The vast majority of patients in this report experienced minimal or no significant change in the periodontium over the clinical follow-up period. Bone levels around the abutment teeth were stable; thus, progressive tooth mobility did not increase over time (Fig. 3).<ce:display><ce:figure id="f0020"><ce:label>Fig. 3</ce:label><ce:caption><ce:simple-para id="sp0045">Patient with dentinogenesis imperfecta demonstrating no caries or periodontal involvement after use of overdentures for 5 years.</ce:simple-para></ce:caption> <ce:link locator="gr3"></ce:link></ce:figure></ce:display>When it existed, bone resorption in the edentulous distal extension area was comparable to resorption seen under conventional removable partial dentures (Kennedy Class I and II). Care was taken to maintain accurate fit of the edentulous areas to the tissue base to prevent fracture of the denture.</ce:para><ce:para id="p0065">It should be noted that patients with total anodontia exhibit minimal changes in alveolar ridge profile with long-term denture use. Since tooth buds never form in patients with congenital conditions such as ectodermal dysplasia, their alveolar bone never exists. These patients have more stable basilar bone. Most bony contour changes that are observed are caused by the growth process, not resorption of existing supporting bone. The maxilla and mandible do grow as the child becomes an adult, but at a slower rate, resulting in hypoplastic maxillary/mandibular growth patterns or profiles (Fig. 4).<ce:display><ce:figure id="f0025"><ce:label>Fig. 4</ce:label><ce:caption><ce:simple-para id="sp0050">Comparison of dentures for patient with total anodontia. <ce:bold>A,</ce:bold> Lower set worn when patient was 2 years old; upper set worn when patient was 6.5 years old. <ce:bold>B,</ce:bold> Left set worn when patient was 11 years old; right set worn when patient was 18 years old.</ce:simple-para></ce:caption> <ce:link locator="gr4"></ce:link></ce:figure></ce:display>If the dentures are not relined/rebased every 2 to 4 years or remade every 4 to 6 years, depending on growth rate, chronic tissue irritation will be seen and/or pathology such as papillary hyperplasia and epulis formation may develop under the maxillary denture.</ce:para><ce:para id="p0070">Gradual recession of the attached gingival tissue was seen in this patient population with long-term (10 to 25 years) overdenture use. The apparent lack of stimulation of the gingival tissues under the denture base contributed to the loss of attached gingiva. The incidence of recession was much greater in patients who refused to rest their supporting structures during sleeping hours and who removed their dentures only to clean them or their teeth. Although recession was noted in this subgroup of noncompliant patients, at no time during clinical follow-up was the recession process seen as aggressive and/or pathologic.</ce:para><ce:para id="p0075">The development of “dead spaces”<ce:cross-ref refid="bib17"><ce:sup>17</ce:sup></ce:cross-ref> caused by growth alters the fit of the denture and can cause pathologic alterations to the soft tissue. These alterations range from papillary hyperplasia to slight or severe gingival hyperplasia and even epulis formation. One patient developed Dilantin gingival hyperplasia after 1.5 years of 24-hours-a-day denture use coupled with an inappropriately high dose of Dilantin (phenytoin) (Fig. 5).<ce:display><ce:figure id="f0030"><ce:label>Fig. 5</ce:label><ce:caption><ce:simple-para id="sp0055"><ce:bold>A,</ce:bold> Patient diagnosed with epilepsy and dentinogenesis imperfecta at time of delivery of maxillary and mandibular overdentures. <ce:bold>B,</ce:bold> Same patient demonstrating Dilantin hyperplasia.</ce:simple-para></ce:caption> <ce:link locator="gr5"></ce:link></ce:figure></ce:display>The most severe soft tissue reaction was seen in a female patient who refused to return for routine follow-up evaluation and functioned with the same maxillary and mandibular overdentures for approximately 8 years without alteration to the dentures. During that period, the patient experienced her most significant growth. The maxilla and mandible grew, but the dentures did not; “dead spaces” developed under the dentures, and hyperplasia/epulis formed (Fig. 6).<ce:display><ce:figure id="f0035"><ce:label>Fig. 6</ce:label><ce:caption><ce:simple-para id="sp0060">Patient with ectodermal dysplasia demonstrating severe gingival hyperplasia and large palatal epulis formation as a result of 8 years of nonintervention growth changes and noncompliant follow-up. (Photo taken in 1980, when gloving was not universal standard.)</ce:simple-para></ce:caption> <ce:link locator="gr6"></ce:link></ce:figure></ce:display>Significant oral/periodontal surgery was required to correct this condition, after which new overdentures were fabricated.</ce:para></ce:section><ce:section id="s0025"><ce:section-title id="st0030">Denture complications</ce:section-title><ce:para id="p0080">Patients who use removable dentures during growth years must be examined periodically (at least once a year) to assess the necessity to reline/rebase or remake the prostheses, depending on the growth profile and fit of the dentures. In the author's experience, it is normally necessary to reline/rebase intraoral prostheses every 2 to 4 years and remake them every 4 to 6 years. Failure to maintain an accurate denture fit may result in hyperplasia/epulis formation, as mentioned above.</ce:para><ce:para id="p0085">As permanent teeth erupt into the mouth, the dentures must be relieved internally to accommodate them. This is especially true for third molars, as they erupt in adolescent/young adult patients. If relief is not provided, the third molar eruption may “shim” the distal aspects of the dentures and promote aggressive wear of the denture or breakage because of the lack of balanced anterior support. Breakage of the denture is far more common at the focal line of rotation adjacent to distal extension “free-end” denture base areas. If the distal extension denture base is not relined as resorption of the residual ridge occurs, fracture may occur.</ce:para><ce:para id="p0090">Except for the special situations described above, the dentures of all patients followed clinically were stable over a 10-year period with respect to breakage. However, wear of the acrylic occlusal tooth surfaces became significant after approximately 10 years of use (Fig. 7).<ce:display><ce:figure id="f0040"><ce:label>Fig. 7</ce:label><ce:caption><ce:simple-para id="sp0065"><ce:bold>A,</ce:bold> Occlusal aspect of overdenture for cleft lip and cleft palate patient with hypoplastic maxilla at time of delivery. <ce:bold>B,</ce:bold> Same denture 10 years later showed significant occlusal wear. Patient functioned with same denture for additional 3 years, after which denture fractured.</ce:simple-para></ce:caption> <ce:link locator="gr7"></ce:link></ce:figure></ce:display>Despite the increased occlusal forces generated with overdentures compared with conventional soft tissue-supported prostheses, wear on the occlusal surfaces of the overdentures was remarkably stable over time. Occasionally, a tooth would “pop-off” the denture base, especially if diatonic retention was not placed in the tooth ridge lap area.</ce:para><ce:para id="p0095">It is generally accepted that most removable dentures function well for 8 to 10 years, after which time refabrication is indicated. The average life span of the overdenture described for this group of patients, once full growth was noted, was within this range. The number of reline procedures necessary to maintain accurate denture fit in growing children was directly related to their individual growth patterns.</ce:para></ce:section><ce:section id="s0030"><ce:section-title id="st0035">Summary</ce:section-title><ce:para id="p0100">In a longitudinal follow-up of congenital/developmental patients who functioned with maxillary and/or mandibular overdentures for 2 to 25 years, (1) TMJ-related problems were not noted, despite the fact that the vertical dimension of occlusion was intentionally increased; (2) caries appeared to be more significant than soft tissue problems and more prevalent in the maxillary arch; (3) fluoride use appeared to benefit all patients relative to caries control; (4) oral and prosthesis hygiene appeared to be important relative to caries prevention and support structure health; (5) soft tissue changes, including gingival recession of attached tissues and an increased plaque index, were noted; and (6) acrylic resin tooth wear and denture base breakage were not significant. Patients generally adapted well to their prostheses and expressed satisfaction with them. On the basis of spontaneous remarks by the patients and/or their parents, it can be concluded that the functional and psychological benefits of overdenture therapy far outweighed the associated complications and problems in this population.</ce:para></ce:section><ce:section id="s0040" view="extended"><ce:section-title id="st0040">Supplementary Files</ce:section-title><ce:para id="p0105"><ce:float-anchor refid="mmc1"></ce:float-anchor><ce:float-anchor refid="mmc2"></ce:float-anchor></ce:para></ce:section></ce:sections></body><tail><ce:bibliography id="bi0010"><ce:section-title id="st0045">References</ce:section-title><ce:bibliography-sec id="bs0010"><ce:bib-reference id="bib1"><ce:label>1</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>GS</ce:given-name><ce:surname>Rogoff</ce:surname></sb:author><sb:author><ce:given-name>GN</ce:given-name><ce:surname>Graser</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Overdentures for acquired and congenital anomalies: 1. Complete dentures</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Int J Prosthodont</sb:maintitle></sb:title><sb:volume-nr>3</sb:volume-nr></sb:series><sb:date>1990</sb:date></sb:issue><sb:pages><sb:first-page>229</sb:first-page><sb:last-page>237</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib2"><ce:label>2</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>S</ce:given-name><ce:surname>Esposito</ce:surname></sb:author><sb:author><ce:given-name>TJ</ce:given-name><ce:surname>Vergo</ce:surname><ce:suffix>Jr</ce:suffix></sb:author></sb:authors><sb:title><sb:maintitle>Removable overdentures in the oral rehabilitation of patients with dentinogenesis imperfecta</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Pedod</sb:maintitle></sb:title><sb:volume-nr>2</sb:volume-nr></sb:series><sb:date>1978</sb:date></sb:issue><sb:pages><sb:first-page>304</sb:first-page><sb:last-page>315</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib3"><ce:label>3</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>A</ce:given-name><ce:surname>Hickey</ce:surname></sb:author><sb:author><ce:given-name>TJ</ce:given-name><ce:surname>Vergo</ce:surname><ce:suffix>Jr</ce:suffix></sb:author></sb:authors><sb:title><sb:maintitle>Prosthodontic consideration in the treatment of patients with maxillary and mandibular deficiencies</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>66</sb:volume-nr></sb:series><sb:date>1991</sb:date></sb:issue><sb:pages><sb:first-page>645</sb:first-page><sb:last-page>649</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib4"><ce:label>4</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>AA</ce:given-name><ce:surname>Brewer</ce:surname></sb:author><sb:author><ce:given-name>RM</ce:given-name><ce:surname>Morrow</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Overdentures</sb:maintitle></sb:title></sb:contribution><sb:host><sb:book><sb:edition>2nd ed</sb:edition><sb:date>1980</sb:date><sb:publisher><sb:name>CV Mosby Co</sb:name><sb:location>St Louis</sb:location></sb:publisher></sb:book></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib5"><ce:label>5</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>PA</ce:given-name><ce:surname>Miller</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Complete dentures supported by natural teeth</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>8</sb:volume-nr></sb:series><sb:date>1958</sb:date></sb:issue><sb:pages><sb:first-page>924</sb:first-page><sb:last-page>928</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib6"><ce:label>6</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>RJ</ce:given-name><ce:surname>Loiselle</ce:surname></sb:author><sb:author><ce:given-name>RJ</ce:given-name><ce:surname>Crum</ce:surname></sb:author><sb:author><ce:given-name>GE</ce:given-name><ce:surname>Rooney</ce:surname><ce:suffix>Jr</ce:suffix></sb:author><sb:author><ce:given-name>CH</ce:given-name><ce:surname>Stuever</ce:surname><ce:suffix>Jr</ce:suffix></sb:author></sb:authors><sb:title><sb:maintitle>The physiologic basis for the overlay denture</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>28</sb:volume-nr></sb:series><sb:date>1972</sb:date></sb:issue><sb:pages><sb:first-page>4</sb:first-page><sb:last-page>12</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib7"><ce:label>7</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>E</ce:given-name><ce:surname>Schneidman</ce:surname></sb:author><sb:author><ce:given-name>S</ce:given-name><ce:surname>Wilson</ce:surname></sb:author><sb:author><ce:given-name>RL</ce:given-name><ce:surname>Spuller</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Complete overlay dentures for the pediatric patient: case reports</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Pediatr Dent</sb:maintitle></sb:title><sb:volume-nr>10</sb:volume-nr></sb:series><sb:date>1988</sb:date></sb:issue><sb:pages><sb:first-page>222</sb:first-page><sb:last-page>225</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib8"><ce:label>8</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>L</ce:given-name><ce:surname>Rissin</ce:surname></sb:author><sb:author><ce:given-name>JE</ce:given-name><ce:surname>House</ce:surname></sb:author><sb:author><ce:given-name>RS</ce:given-name><ce:surname>Manly</ce:surname></sb:author><sb:author><ce:given-name>KK</ce:given-name><ce:surname>Kapur</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Clinical comparison of masticatory performance and electromyographic activity of patients with complete dentures, overdentures, and natural teeth</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>39</sb:volume-nr></sb:series><sb:date>1978</sb:date></sb:issue><sb:pages><sb:first-page>508</sb:first-page><sb:last-page>511</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib9"><ce:label>9</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>CM</ce:given-name><ce:surname>Heartwell</ce:surname><ce:suffix>Jr</ce:suffix></sb:author><sb:author><ce:given-name>AO</ce:given-name><ce:surname>Rahn</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Syllabus of complete dentures</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:edition>4th ed</sb:edition><sb:date>1986</sb:date><sb:publisher><sb:name>Lea and Febiger</sb:name><sb:location>Philadelphia</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>499</sb:first-page><sb:last-page>519</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib10"><ce:label>10</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>AA</ce:given-name><ce:surname>Brewer</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>The tooth-supported denture</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>30</sb:volume-nr></sb:series><sb:date>1973</sb:date></sb:issue><sb:pages><sb:first-page>703</sb:first-page><sb:last-page>706</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib11"><ce:label>11</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>WR</ce:given-name><ce:surname>Frantz</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>The use of natural teeth in overlay dentures</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>34</sb:volume-nr></sb:series><sb:date>1975</sb:date></sb:issue><sb:pages><sb:first-page>135</sb:first-page><sb:last-page>140</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib12"><ce:label>12</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>RJ</ce:given-name><ce:surname>Crum</ce:surname></sb:author><sb:author><ce:given-name>GE</ce:given-name><ce:surname>Rooney</ce:surname><ce:suffix>Jr</ce:suffix></sb:author></sb:authors><sb:title><sb:maintitle>Alveolar bone loss in overdentures: a five-year study</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>40</sb:volume-nr></sb:series><sb:date>1978</sb:date></sb:issue><sb:pages><sb:first-page>610</sb:first-page><sb:last-page>613</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib13"><ce:label>13</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>PE</ce:given-name><ce:surname>Dawson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Evaluation, diagnosis and treatment of occlusal problems</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:date>1974</sb:date><sb:publisher><sb:name>CV Mosby Co</sb:name><sb:location>St. Louis</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>274</sb:first-page><sb:last-page>285</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib14"><ce:label>14</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>MM</ce:given-name><ce:surname>Silverman</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>The speaking method of measuring vertical dimension</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>3</sb:volume-nr></sb:series><sb:date>1953</sb:date></sb:issue><sb:pages><sb:first-page>193</sb:first-page><sb:last-page>199</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib15"><ce:label>15</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>LB</ce:given-name><ce:surname>Toolson</ce:surname></sb:author><sb:author><ce:given-name>DE</ce:given-name><ce:surname>Smith</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>A five-year longitudinal study of patients treated with overdentures</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>49</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>749</sb:first-page><sb:last-page>756</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib16"><ce:label>16</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>LB</ce:given-name><ce:surname>Toolson</ce:surname></sb:author><sb:author><ce:given-name>TD</ce:given-name><ce:surname>Taylor</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>A 10-year report of a longitudinal recall of overdenture patients</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>62</sb:volume-nr></sb:series><sb:date>1989</sb:date></sb:issue><sb:pages><sb:first-page>179</sb:first-page><sb:last-page>181</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib17"><ce:label>17</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>GA</ce:given-name><ce:surname>Zarb</ce:surname></sb:author><sb:author><ce:given-name>CL</ce:given-name><ce:surname>Bolender</ce:surname></sb:author><sb:author><ce:given-name>GE</ce:given-name><ce:surname>Carlsson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Boucher's prosthodontic treatment for edentulous patients</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:edition>11th ed</sb:edition><sb:date>1997</sb:date><sb:publisher><sb:name>CV Mosby</sb:name><sb:location>St. Louis</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>443</sb:first-page><sb:last-page>459</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Prosthodontics for pediatric patients with congenital/developmental orofacial anomalies: A long-term follow-up</title></titleInfo><name type="personal"><namePart type="given">Thomas J.</namePart><namePart type="family">Vergo, Jr</namePart><namePart type="termsOfAddress">DDSa</namePart><affiliation>Tufts University School of Dental Medicine, Boston, Mass.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">2001</dateIssued><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: Patients afflicted with congenital/developmental anomalies of the oral/head and neck regions present the prosthodontist with unique esthetic and functional restorative challenges. This article reviews the various pediatric patient categories that would benefit from placement of “vital” overdentures. A long-term follow-up of patients seen over 25 years of practice is presented with a focus on complications such as temporomandibular joint stability, caries, soft tissue and bony support changes, and denture adaptation. Longitudinal follow-up of these patients indicates that, although problems occur with overdenture therapy, the benefits of this treatment far outweigh the complications. (J Prosthet Dent 2001;86:342-7.)</abstract><note>aProfessor, Department of Restorative Dentistry, and Division Head, Maxillofacial Prosthetics. Active Staff, New England Medical Center and Boston Medical Center. Private practice, Boston, Mass.</note><note>Reprint requests to: Dr Thomas J. Vergo, Department of Restorative Dentistry, Tufts University School of Dental Medicine, 1 Kneeland St, Boston, MA 02111, Fax: (617)636-6583, E-mail: thomas.vergo_jr@tufts.edu</note><relatedItem type="host"><titleInfo><title>The Journal of Prosthetic Dentistry</title></titleInfo><titleInfo type="abbreviated"><title>YMPR</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">200110</dateIssued></originInfo><identifier type="ISSN">0022-3913</identifier><identifier type="PII">S0022-3913(00)X0015-7</identifier><part><date>200110</date><detail type="volume"><number>86</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="issue-pages"><start>331</start><end>450</end></extent><extent unit="pages"><start>342</start><end>347</end></extent></part></relatedItem><identifier type="istex">4E42489AB074AD87A1D7BE62EE5D6B696B5B1C1C</identifier><identifier type="ark">ark:/67375/6H6-X1F9ZB4J-W</identifier><identifier type="DOI">10.1067/mpr.2001.118877</identifier><identifier type="PII">S0022-3913(01)88833-8</identifier><accessCondition type="use and reproduction" contentType="copyright">©2001 Editorial Council of The Journal of Prosthetic Dentistry.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>Editorial Council of The Journal of Prosthetic Dentistry., ©2001</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/4E42489AB074AD87A1D7BE62EE5D6B696B5B1C1C/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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